I25.731 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Excludes1 (never code together)

• angina pectoris with documented spasm without atherosclerosis of nonautologous biological coronary artery bypass graft(s) (I20.1)

Applies from I25 Chronic ischemic heart disease

Excludes2 (not included here)

• non-ischemic myocardial injury (I5A)

Use additional code

• code to identify:
• chronic total occlusion of coronary artery (I25.82)
• exposure to environmental tobacco smoke (Z77.22)
• history of tobacco dependence (Z87.891)
• occupational exposure to environmental tobacco smoke (Z57.31)
• tobacco dependence (F17.-)
• tobacco use (Z72.0)

Applies from I25.7 Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris

Excludes1 (never code together)

• atherosclerosis of bypass graft(s) of transplanted heart without angina pectoris (I25.812)
• atherosclerosis of coronary artery bypass graft(s) without angina pectoris (I25.810)
• atherosclerosis of native coronary artery of transplanted heart without angina pectoris (I25.811)

Use additional code

• code, if applicable, to identify:
• coronary atherosclerosis due to calcified coronary lesion (I25.84)
• coronary atherosclerosis due to lipid rich plaque (I25.83)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 88 — Angina Pectoris
• RxHCC V08: HCC 188 — Coronary Artery Disease
• ESRD V24: HCC 88

MS-DRG index

Defines the logic of DRG(s) 302-303 in MDC 05.

Approximate ICD-9-CM (GEMs)

• 413.9 Other and unspecified angina pectoris (approximate)
• 414.03 Coronary atherosclerosis of nonautologous biological bypass graft (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Adult diagnoses (age 15 through 124): Age conflict edit. These diagnoses are clinically expected only in patients age 15 through 124.

Code annotations containing back-references to I25.731

Back-references to I25.73

• Type 1 Excludes: I25.810 Atherosclerosis of coronary artery bypass graft(s) without angina pectoris ("atherosclerosis of coronary bypass graft(s) with angina pectoris (I25.70-I25.73-, I25.79-)")

Back-references to I25.7

• Type 1 Excludes: I20 Angina pectoris ("atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris (I25.7-)")
• Type 2 Excludes: I25.1 Atherosclerotic heart disease of native coronary artery ("atherosclerosis of coronary artery bypass graft(s) and transplanted heart (I25.7-)")
• Type 2 Excludes: I25.5 Ischemic cardiomyopathy ("coronary atherosclerosis (I25.1-, I25.7-)")
• Code First: I25.82 Chronic total occlusion of coronary artery ("coronary atherosclerosis (I25.1-, I25.7-, I25.81-)")
• Code First: I25.83 Coronary atherosclerosis due to lipid rich plaque ("coronary atherosclerosis (I25.1-, I25.7-, I25.81-)")
• Code First: I25.84 Coronary atherosclerosis due to calcified coronary lesion ("coronary atherosclerosis (I25.1-, I25.7-, I25.81-)")

Back-references to I25

• Type 2 Excludes: I74 Arterial embolism and thrombosis ("coronary embolism and thrombosis (I21-I25)")
• Type 2 Excludes: I82 Other venous embolism and thrombosis ("coronary (I21-I25)")

Diagnosis Index entries for I25.731

• Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification) › coronary (artery) › bypass graft › nonautologous biological › with › angina pectoris › with documented spasm

Nearby codes

• I25.722 Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris
• I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
• I25.729 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris
• I25.73 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris
• I25.730 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
• I25.731 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm (this code)
• I25.732 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris
• I25.738 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
• I25.739 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris
• I25.75 Atherosclerosis of native coronary artery of transplanted heart with angina pectoris
• I25.750 Atherosclerosis of native coronary artery of transplanted heart with unstable angina